Assistance Form | Gnd186MCL

Assistance

Request Form

Purpose

This form is to be used by individuals requesting financial assistance from the Marine Corps League – Greater Nevada Detachment 186. All requests must align with the charitable mission of supporting Marines, FMF Corpsmen, and veterans. This form ensures compliance with the detachment's bylaws and 501(c)(3) regulations.

Personal Information

Full Name

Date of Birth

Phone Number

Address

Service Dates

Discharge Status

Assistance Requested

Amount Requested

Purpose of Funds

Supporting Documentation

Proof of Veteran or Veteran Family Status (DD-214, Veteran ID, Dependent ID, Etc.)

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Proof of Need (e.g. Moving Expenses, Medical Bills, Employment Verification, Etc.)

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Estimates or Invoices related to the requested funds (if applicable)

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Any other documentation that may support your request

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Agreement

By entering my name below, I certify that all information provided in this form is true and complete to the best of my knowledge. I understand that the detachment will review my request in alignment with its mission and bylaws, and that I may be required to provide additional information if necessary. I acknowledge that any financial assistance granted will be used solely for the purpose stated in this application, and I agree to submit proof of how the funds were used if requested by the detachment.

Name of Certifying Individual

Date

Your Application Has Been Submitted

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